<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">


    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('退款金额')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input name="row[sn]" type="hidden" value="{$row.sn}">
            <input id="c-refund_price" class="form-control" name="row[refund_price]" type="text"
                value="{$row.pay_money}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>